Individual
TIFFANY BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31229 PLYMOUTH RD STE 105, LIVONIA, MI 48150-2105
(734) 466-5150
Mailing address
31153 PLYMOUTH RD STE 105, LIVONIA, MI 48150-2134
(734) 466-5150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/15/2022
Last updated
02/10/2026
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